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HomeMy WebLinkAboutBLD7753 Addition - BLD Permit / Conditions - 10/28/1980 Robbins, D. M. #7753 10-28-80 1st house of 101 on So. side of Hamma Hamma River ' 27-24-3 Addition $33,600.00 ©� � ,o�� ��� � �� 6 774"t r, BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 / DATE ISSUED . PERMIT NO. 2: -7 OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE �'vsSJ N5 '-z#-33 Nr� Stfo ree p ��t LtMG-hf t �iQ y877 73 -h�626 DIRECTIONS TO JOB SITE /-ST OF /D/ P14 -64 -!�iAC AF oq* "M,9 J4,6" 1A? 7;//fk-P, LEGAL (❑ SEE ATTACHED SHEET) DESCR. 547e- ?-7 7- ,?A w NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR D 164"Airm USE OF BUILDING Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: i E- 1-47-/NA. Z X Z� )4 ovlR � � �y � ►�/� �leosr �c.L �aYHo ,�IH�T� ✓ ' 1� L-T0-5 v✓/o .SH TIE h/ .✓ / S y �1441- GtPVJ30 1A4 VA.-A-r/sfjr zf Wl,?A-A.$ G k)Ll }'?.9 F'H6A T Valuation of work: �j PLAN CHECK FEE PERMIT FEE /Q l 33 SPECIAL CONDITIONS: Ld err BEDROOMS DECKS CARPORT ❑ NOTICE I BATHROOMS TOTAL SO. FT.11ZI) GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORI BASEMENT ❑ OR AIR CONDITIONING. TOTAL SQ. r,I� FIREPLACE ❑ DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- ONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER I certify that I am a currently registered contractor in WORK IS COMMENCED. the State of Washington and I the aware of the FOR OFFICE USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT ❑ SHORELINES ❑ SEASONAL ❑ FLOODPLAIN Li Firm E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. PUBLIC WORKS I certify that I am exempt from the requirements of the FIRE MARSHAL ntract or registration law RCW 18.27, and am aware 7 /0 ©� of the Mason County ordinance requirements for BUILDING DEPT. 4 ? which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PE IT �� P ATION AC Y PLANS CHECK BY APPROVED FOR ISSUANCE Owne4 l e '/ • Date. 1 r BY r" 0 I PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH PLOT PLAN r9 6 y in tv.S , 2-,V-3.3 94. ADDRESS ✓�LLI,*'�l1tH�r, Ll�13 9"eZZ.S PERMIT NO..47 LEGAL DESCRIPTION LOT BLK ADDITION p u SITE AREA I Z(J Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft.t lG INSTRUCTIONS TO APPLICANT �Xl g �t•�_s� THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1•'=20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION P"D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. � I INDICATE NeTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' A . c I +Y y Y l Milk- l5 � 1 I t f� 1 I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. S Irf; HRI-119 l3a''t R Co" _l>f2ucrvRE,� ���;. ��T E s G R 7�c n�is,f fe-�,-•(.,-�,.�,` - NAME(S) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED („ DISTRICT AS NOTED DATE S HELTON PRTI _.'Ni f G . L v' A. MASON COUNTY 426-5593 BUILDING DEPARTMENT N° 326 ALL PERSONS ARE HEREBY ORDERED TO AT ONCE STOP WORK On these Premises at .... ......... _.•./�it�''�:�....l..l...................... .......-•--- . ................................................................................................................................................................................._...._.........---...._.......... . ._ .. This order is issued because '.../� ........................ ..... ..................... ..... ........................................................................................................................................................................................................................_........... 94:�tt: a Posted _. ................P.M.., .. . ...1. /'.............................. 19..�.�...6--- BY ..... c� �............. WARN'NG The failure to stop work, the resuming of work without permission from the Building Official, or the removal, mutilation, destruction or concealment of this Notice is punishable by fine and imprisonment.